颌骨孤立性浆细胞瘤  

Clinical Feature of Jaw Solitary Plasmacytoma

作　　者：陈新群[1] 成洪泉[1] 郭峰[1] 粟红兵[1] 

机构地区：[1]中南大学湘雅医院口腔颌面外科,湖南长沙410008

出　　处：《口腔医学研究》2005年第2期194-196,共3页Journal of Oral Science Research

摘　　要：目的:探讨颌骨孤立性浆细胞瘤的临床特征、诊断与治疗。方法:对我院近11年收治的6例颌骨孤立性浆细胞瘤的临床资料进行回顾性分析、并对其治疗效果进行随访。结果: 6例颌骨孤立性浆细胞瘤具有下列临床独特点:男性、女性、青少年和中老年均可发生;大多以上颌骨或下颌骨局部疼痛,牙痛、牙齿松动,面部麻木、肿胀就诊。X线表现为受累颌骨中多个大小不等的圆形溶骨性凿孔状缺损或硬化斑,周围无骨膜反应;均未伴发全身其它症状和体征; 6个病例术前均未确诊,但经单纯手术切除或手术切除和术后放疗联合治疗均获得良好治疗效果。结论:颌骨孤立性浆细胞瘤临床表现常不足以明确诊断,需病检予以确诊,单纯行颌骨切除或病灶扩大切除或辅以放疗可获得良好的疗效。Objective: To investigate the method of diagnosis and therapy about solitary plasmacytoma of jaw. Methods: To analyse retrospectively the clinical information of 6 cases of solitary plasmacytoma in jaw,which were treated between 1989 and 2003. Results: Male or female, juvenile or adult were all likely to suffer from this disease. The common symptoms of the disease included indefinite ostalgia and enlargement in the maxilla or mandible, tooth pain and tooth movement. Radiograph of this tumor showed bone destruction in cystic and expansion with soft fissure mass. There was no abnormal clinical finding in any other site of the body except the local tumor area. In all of 6 cases, the diagnosis was not confirmed as plasmacytoma before surgical operation, but All of them were cured by means of excision of the tumor and additional local radiotherapy. Conclusions: Biopsy is a necessary method to diagnose the tumor. Extended excision of the tumor and postoperative radiotherapy are recommended for the treatment of solitary plasmacytoma of jaw.

关 键 词：浆细胞瘤 孤立性 诊断 治疗 

分 类 号：R739.8[医药卫生—肿瘤]